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Tony F.'s avatar

On health care -- I truly wish we could move the conversation away from systems/delivery and towards principles. What do we want from our healthcare system? Let's start with that and then keep an open mind on how to best deliver that rather than stubornly sticking to the system we know because "America!"

For me -- I'd love to see a system that continues to excel at addressing life threatening issues without bankrupting people. It's what our system -- up until recently -- has done ok and is really set up to do. Unless I'm mistaken, thought, that's as much about having an effective public health insurance program as it is about delivering healthcare.

For 'quality of life' healthcare -- including chronic issues -- my observation is we don't do as well. That's where people complain about having to wait for, say knee surgery. Living a long time in pain or with issues *sucks* -- how can we make that part of the system work better? Provide more timely care and more care options affordably? My own sense is this probably cannot effectively be done with universal 'free' access. But, can we explore how to do this really well, and provide a lot affordable options for people? I think that would make a real change in people's sense of the quality of Canadian healthcare -- after all, most of us only have one or two life threatening healthcare issues, but almost all of us will have an issue that impacts our quality of life.

Another bit I don't think we do well (at least in my experience in Ontario) is coordination of care. If you have a complicated health issue, you may be dealing with your own family doctor, specialists plus other providers. My observation -- the coordination of these experts is kind of on you. They are all busy and provide a piece of the 'getting you better' puzzle, but they don't necessarily communicate with each other and don't have time to ask a lot of questions. The quality of your care to some degree depends on your ability to advocate for yourself and navigate the system -- you become a bit like a construction contractor, coordinating the various skilled trades on a project. Not everyone can do that -- and struggling with that means we don't really have the kind of equity of access we pride ourselves on.

One last thing we really, really need to do better on is end-of-life care. We have a system that is focused on keeping people alive and eventually that's not possible (or desireable). Given an aging popluation, we need to invest -- heavily, right now -- in options like hospice care that can allow people to reach the end of their lives as comfortably as possible. We're way behind here.

In short -- we have a system designed to address life threatening disease that we also use for everything else. Maybe we need different approaches optimized for different kinds of healthcare?

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Michelle Marcotte's avatar

My daughter is a surgeon in Ontario. I have many friends in Niagara region who cannot get health care services at all. The health care system in Ontario is not failing. It has failed already. Much of the blame should be laid on Ford who continues to think it wise to offer nurses a 1% raise year after year. Nurses are leaving in droves. No nurses, no surgeries, no nothing. We are watching stupidity in action.

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